Search PubMed⌕ Search

Biomedical subjects

G Maisano

Publications and source records attributed to G Maisano.

At least 19 recordsLinked to original sources
PubMed1988

The proposal of the Italian Committee on Occupational Cardiology.

This paper describes a protocol of assessing specific working fitness of post-myocardial infarction patients proposed by the Italian Committee on Occupational Cardiology. After cardiovascular (cross-sectional echocardiography, Holter monitoring and maximal symptom-limited ergometric test) and psychological evaluation (CBA-2.0), two ambulatory ECGs were used during work to confirm the first judgement of specific work fitness expressed by occupational specialists. The preliminary results obtained in 106 uncomplicated male patients (mean age 49 +/- 8 years) show that: (i) return to work (89.6%) at 117 +/- 51 days after the acute event is mainly related to socio-occupational variables rather than to cardiovascular status; (ii) the results of the ambulatory monitoring usually confirm the first judgment of specific work fitness; (iii) heart rate responses recorded during work are unrelated to the judgment of fitness; and (iv) the repeatability of the results observed during the two ambulatory ECGs at work is good.

Adult↗
PubMed1988

Opening remarks.

Explore the source record for details and available documents.

Coronary Disease↗
PubMed1988

Human relations as a coronary risk factor.

Psychological variables are significant in the evolution of coronary heart disease (CHD). Two types of personality have been identified as constituting coronary risk: Type 1 which is hypercompetitive and anxious, and Type 2 which is overscrupulous and guilt prone. Both these behavioural types are formed during infancy, and are thought to be neurotic. In rehabilitation it is therefore necessary to take into consideration the psychological as well as the physiological aspects, and so the evaluation of the patient's suitability for return to work, should be, at least in part, psychosomatic. The approach used by the Cardiac Rehabilitation Centre of Udine seems to point towards a successful strategy. The aim of the strategy is to improve the chances of secondary prevention, to correct risk factors on a long-term basis, and to arrive at safe and reliable criteria for return to work.

Cognitive Dissonance↗
PubMed1978

[Programmed rehabilitation of infarct patients. Methods and results].

Rehabilitation is now regarded as an integral part of the treatment of myocardial infarctees. The programme followed by the cardiological institutions of the Udine regional hospital and physical medicine and rehabilitation is described. Divided into four stages, it is put into effect after careful assessment of the patient's physical capability and psychological profile. The results of three years' work are presented.

Disability Evaluation↗
PubMed1975

[The Caceres-USPHS (version HP-3) computer program. Evaluation of automatic analysis of 40,000 ECG (author's transl)].

The main features of Caceres-USPHS (version HP-3) program for automatic analysis of the ECG are reviewed. Our experience at the Ospedale Regionale di Udine has now reached a total of 40,000 tracings analyzed by such a program and with an HP 1530-A computer system. In a detailed study of 1,000 consecutive computer-analyzed tracings reviewed by three experienced cardiologists, 534 were normal and 466 abnormal. A high degree of specificity was detected in the normal group (only 1.5% of false negatives) while the sensivity was rather low. In the abnormal group there were 18.1% of false positives and while the agreement was 100% in complete bundle branch block and some types of infarction, it was 56% in atrial fibrillation and 47% in incomplete right bundle branch block. Program errors were more common in measurements and pattern recognition; they were unusual in the program logic (0.3%). A significant improvement over comparable data obtained one year previously was attributed to a better quality control in data recording and to increase physician acceptance of the program diagnostic criteria. On the current and past figures of accuracy, it is concluded that the version HP-3 of Caceres-USPHS program represents a step forward in computer-derived ECG interpretation. However more progress is still needed for a larger and more profitable clinical application of this ECG computer program.

Computers↗